Organization
MONARCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY JONES (CFO)
(704) 986-1522
Entity
Organization
Contact information
Practice address
5700 EXECUTIVE CENTER DR, SUITE 110, CHARLOTTE, NC 28212-8858
(704) 525-3255
Mailing address
350 PEE DEE AVE, SUITE A, ALBEMARLE, NC 28001-4945
(704) 986-1522
(704) 982-5279
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8303137
—
NC
05
—
8303137 H
—
NC
05
—
8303137V
—
NC
Enumeration date
10/28/2010
Last updated
10/23/2012
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